Clark, Charles William

Clark, Charles William is an individual health care provider with primary practice located at 4175 Chesterland Blvd , Stow OH 44224-1820. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Clark, Charles William can be contacted via phone (330) 603-4559.

Contact Information

Primary practice address
4175 Chesterland Blvd Stow OH 44224-1820
Phone: (330) 603-4559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 406677 Ohio

Profile Details

NPI number 1235848649
LBN Legal business name Clark, Charles William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2022
Last updated Nov 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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